News on Youtube Sep 2 2018

>> Sreenivasan: FOR MORE, I

SPOKE RECENTLY WITH SARA

ROSENBAUM, A PROFESSOR OF HEALTH

LAW AND POLICY AT GEORGE

WASHINGTON UNIVERSITY MILKEN

INSTITUTE SCHOOL OF PUBLIC

HEALTH.

SARA ROSENBAUM, THANKS FOR

JOINING US.

SO, LET'S FIRST TALK ABOUT

KENTUCKY.

IT WAS POISED TO BE THE FIRST

STATE IN THE COUNTRY TO ADD WORK

REQUIREMENTS FOR SOME MEDICAID

RECIPIENTS, BUT JUST DAYS BEFORE

TAKING EFFECT, A JUDGE BLOCKED

THE NEW RULES.

WHY?

>> KENTUCKY'S PROPOSAL, LIKE THE

PROPOSALS IN OTHER STATES,

REALLY BOILED DOWN TO REMOVING

PEOPLE FROM MEDICAID.

THE STATE BY ITSELF PROJECTED A

15% DROP IN MEDICAID

BENEFICIARIES, AND WHAT THE

JUDGE SAID WAS, YOU HAVEN'T

SHOWN US HOW AN EXPERIMENT ON

THE POOR THAT REMOVES TENS OF

THOUSANDS OF PEOPLE FROM THE

MEDICAID PROGRAM FURTHERS THE

OBJECTIONS OF THE MEDICAID

PROGRAM, SO YOU HAVEN'T DONE

YOUR JOB UNDER THE LAW.

YOU HAVE TO GO BACK AND EXPLAIN

WHY REMOVING COVERAGE FROM

PEOPLE FURTHERS THE OBJECTIVES

OF MEDICAID.

>> Sreenivasan: ALL RIGHT,

LET'S TALK A LITTLE BIT ABOUT

THAT WORD, "EXPERIMENT."

ARE 50 STATES ALLOWED TO

BASICALLY HAVE 50 DIFFERENT

EXPERIMENTS ON WHAT COULD AND

WHAT COULD NOT WORK, AND IN THIS

CASE WHAT COULD AND WHAT COULD

NOT BE SUED TO STOP?

>> MEDICAID DOES NOT-- EXCEPT IN

ONE VERY PARTICULARIZED

CIRCUMSTANCE-- ALLOW A STATE TO

IMPOSE WORK REQUIREMENTS.

SO, IN ORDER TO CONDUCT A WORK

EXPERIMENT-- AND I USE THE WORD

"EXPERIMENT" QUITE LITERALLY

HERE-- THE FEDERAL GOVERNMENT

HAS TO TURN TO A DIFFERENT

PROVISION OF LAW, ONE THAT

ACTUALLY PREDATES MEDICAID

ITSELF.

AND SO, IN ORDER TO USE THIS

SPECIAL AUTHORITY WHICH HAS

BEEN AROUND FOR 55 YEARS NOW,

THE SECRETARY IS ESSENTIALLY NO

LONGER APPROVING A STATE PROGRAM

UNDER THE MEDICAID STATUTE.

HE'S APPROVING IT AS AN

EXPERIMENT.

>> Sreenivasan: THERE'S GOING

TO BE PEOPLE WHO LOOK AROUND AND

SAY, LOOK, WE HAVE HISTORICALLY

LOW UNEMPLOYMENT.

WHAT'S THE HARM IN ADDING WORK

REQUIREMENTS TO GETTING THIS

INCREDIBLE BENEFIT OF

HEALTHCARE?

>> IN FACT, THE UNEMPLOYMENT

RATES AS YOU POINT OUT ARE

HISTORICALLY LOW.

THE VAST MAJORITY OF POOR PEOPLE

WORK, LOOK FOR WORK.

THE NATURE OF LABOR IN A

LOW-WAGE MARKET, WHICH IS WHERE

LOW-INCOME ADULTS ARE,

OBVIOUSLY, IS THAT IT COMES IN

CYCLES.

YOU MAY GET MORE HOURS.

YOU MAY GET FEWER HOURS.

YOU MAY BE CALLED IN FOR A TIME

OR GET LAID OFF FOR A WHILE.

YOU MAY BE A SEASONAL WORKER.

AND SO, THERE'S A NORMAL

FLUCTUATING TO AND FRO, AND ANY

EFFORT THAT CAN BE MADE TO HELP

PEOPLE WHO ARE IN LOW-WAGE JOBS

WHO NEED SKILLS, TRAINING, WHO

NEED HELP FINDING WORK IS A

WONDERFUL THING, AND THE RESULTS

OF VOLUNTARY WORK PROGRAMS ARE

ACTUALLY QUITE STRONG.

WHAT IS A REAL HEAD SCRATCHER

HERE, FROM A POLICY POINT OF

VIEW, IS WHY YOU WOULD EVER

THREATEN PEOPLE'S HEALTH

INSURANCE COVERAGE OVER THIS

WHEN THERE IS NO EVIDENCE, IN

FACT, THAT MORE THAN THE

SMALLEST HANDFUL OF LOW-INCOME

PEOPLE JUST DON'T WORK AND DON'T

WANT TO WORK AND HAVE NO REASON

NOT TO WORK.

TO PUT AT RISK PEOPLE'S COVERAGE

SIMPLY BECAUSE THEY CAN'T REPORT

IN THEIR MONTHLY HOURS CLOCKED

AT WORK, WHEN, IN FACT, THERE'S

A TINY HANDFUL OF PEOPLE WHO,

YOU KNOW, ARE THE PROVERBIAL

NEEDLES IN THE HAYSTACK, IS I

THINK WHAT MAKES THE WHOLE

ENTERPRISE SO IRRATIONAL AND

FRANKLY SO INHUMANE.

>> Sreenivasan: ALL RIGHT,

SARA ROSENBAUM, A PROFESSOR OF

HEALTH, LAW AND POLICY AT

GEORGE WASHINGTON UNIVERSITY,

THANKS SO MUCH FOR JOINING US.

>> THANK YOU.

For more infomation >> A ruling against Kentucky's Medicaid work requirements could affect other states - Duration: 3:38.

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Dangerous Flooding In Mid-Atlantic States Forces Rescues | NBC Nightly News - Duration: 1:29.

For more infomation >> Dangerous Flooding In Mid-Atlantic States Forces Rescues | NBC Nightly News - Duration: 1:29.

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Mark Curtis speaks to Rudy Giuliani about state of American politics - Duration: 0:47.

For more infomation >> Mark Curtis speaks to Rudy Giuliani about state of American politics - Duration: 0:47.

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States expected to push ahead with reporting laws despite opposition - Duration: 6:29.

 State and territory governments are at loggerheads with the Catholic Church over legal changes that would require priests to break the confessional seal if someone admits to child abuse

 The Royal Commission into Child Sexual Abuse recommended that "persons in religious ministry" should not be exempt from reporting information disclosed during confession, but the Church on Friday issued a response saying it would not support the measure because it could make children less safe

 But the states disagree, and the ACT and South Australia have already made moves to implement changes

 From next year, priests in the ACT will be required to break the seal of confession if someone admits to child abuse, and South Australia is set to have new mandatory reporting laws in place by October

 SA Attorney-General, Vickie Chapman, said she was "proud to havedone it to protect children"

 Although the Catholic Church argued it was "rare" that a perpetrator would admit to a crime in confession, Ms Chapman said that should not be used as a reason not to introduce the laws

 "We are not expecting that there would be a large number of disclosures in confessions but if they are, that should be added to the information that is reported by ministers of religion, of whatever denomination or faith," she said

States, territories agree to harmonise laws But Catholic priest and lecturer in canon law at the Catholic Theological College Professor Ian Waters said priests would be unlikely to break the seal

 "If a policeman came to me or to another priest and said, 'Did Bill Smith come and confess this sin?', I don't believe a priest would break the seal," he said

 In its formal response to the royal commission's recommendations, the Catholic Church argued mandatory reporting of confessions would be a violation of freedom of religious belief and worship – and could actually make children less safe because a perpetrator who might have disclosed details would no longer do so

 "So an opportunity would be lost to encourage a perpetrator to self-report to civil authorities or victims to seek safety," it said

 Professor Waters said there were also practical problems with the suggested law because priests often do not know who they are talking to in confession

 "It's frequently done with a partition between the priest and the person," he said

 "So people don't come in and say, 'my name is John Smith and I live at 360 High Street'

"We all have a role to play By placing institutional abuse within its larger context, the royal commission has made the prevention and identification of child sex offending a collective responsibility

 New South Wales Attorney-General, Mark Speakman, conceded some details needed to be ironed out, but said he remained upbeat the laws across the different states and territories would align in the near future

 The state is yet to introduce laws that would require priests to report details revealed in confession, but Mr Speakman said conversations were ongoing

 "We are hopeful and that's why we have taken it to the Councils of Attorneys-General," Mr Speakman said

 "It would make a lot of sense if you have uniform evidence laws in most jurisdictions

" The change in law is essentially a state and territory matter, but Federal Attorney-General, Christian Porter, is working with his counterparts to ensure action is taken, despite the Church's opposition

 In a statement he said the states and territories had agreed to harmonise their laws and they would meet in December to further outline their progress

 While this particular recommendation from the royal commission has garnered a great deal of attention, ACT Attorney-General, Gordon Ramsay, said it needed to be put into perspective

 "There were 307 recommendations that relate to state and territory governments, only a very small number of those relate to the religious confession or the seal of the confession, so we are working across a whole range of areas," he said

 -ABC